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APPLICATIOi: ^OR <br /> �FP10l�.I T I ON PERh1 I T <br /> SPECIAL CONDITIONS AND HOLD HARMLESS AGR]�EMENT <br /> T e undersigned owner of �roperty legall�� described as ��� �(��j _�/�'_;,f�_/� _ <br /> �v � <br /> - O - / •- "��-�-s�-,�r./ ��i�-a�-�� -r C�z-��.�• <br /> hereby applies for and requests a ermit, pursuant to Section 301a of the <br /> State of Minnesota Uniform Building Code, for the DEMOLITION and COMPLETE <br /> .� REMOVAL of the following described structure (s) located thereon: <br /> ; � �- ( <br /> - ���2-,:,_�i �;l- ,� �� ' _t� L�� -=�"� — %�� "}%/ <br /> � - <br /> �: i <br /> Demolition is planned by means of: _ manual disassembly _ heavy equipment <br /> �burning, by the appropriate fire c�epartment <br /> In return for issuance of said Demolition Permit, the undersigned owner <br /> hereby agrees as follows: <br /> 1. The structure (s) shall be kept enclosed and secured until such time <br /> as demolition is complete. <br /> 2. Demolition debris will be kept off adjoining property and/or the <br /> public rights of way unless specific prior approval is obtained � <br /> in writing for temporary use thereof. <br /> 3. All demolition debris will be completely disposed of off site in <br /> an approved landfill and in accordance with all applicable PCA <br /> requirements. <br /> 4 . Upon completion, and within 5 working days of superstructure removal , <br /> the site shall be left clean and clear of all debris , with any <br /> foundation or other excavation filled with earth, level with the <br /> adjacent ground elevation, except when such excavation is to be used <br /> as part of a new building and such new building is actually under <br /> construction. <br /> 5. The undersigned owner shall and hereby does indemnify and hold <br /> harmless the City of Orono, the City Council, and the agents and- <br /> employees of the City from and against all claims, damages, losses <br /> or expenses, including attorney fees, which the City, City Council <br /> and agents and employees of the City may suffer or for which it may <br /> be held liable arising out of or resulting from the assertion against <br /> them of any claims, debts or obligations in consequence of the <br /> demolition described herein as performed by the property owner, his <br /> employees, agents or subcontractors, whether or not caused in part <br /> by a party indemnified hereunder. <br /> 6. The undersigned property owner declares that all facts and <br /> representations stated herein are true and correct, and agrees to <br /> do all work in rict accordance with the ordinances of the City. <br /> ( � <br /> ' tl�� <br /> Signed Da e <br /> �' ���r�.S� ��� � / - �'� <br /> Mailing Address - Phone <br /> ��� �/ <br />